Position Highlights:** * Influence division-wide utilization management strategy and clinical practice patterns across physicians and advanced-practice clinicians (APCs) * Partner across medical staff, care management, and revenue cycle to drive aligned outcomes * Lead initiatives to improve length of stay, documentation integrity, and denial prevention at scale * Play a key role in advancing a high-value, patient-centered model * Compensation is between $331,411 and $373,442 per year **Key Responsibilities:** _Clinical & Operational Responsibilities_ * Review cases for admission appropriateness, level of care, and medical necessity * Lead denial prevention and management, including peer-to-peer discussions and appeals * Support complex discharge planning and patient status determinations _Clinician Leadership & Program Impact_ * Partner with care management and physician/APC teams to proactively reduce avoidable days and discharge barriers * Use data and analytics to identify variation in LOS, denial trends, and documentation gaps, and drive targeted interventions * Lead education and engagement initiatives across physicians and APCs to improve documentation, status decisions, and compliance with Medicare and payer requirements * Collaborate with executive and operational leaders to align utilization management strategies with system goals for patient flow, access, and financial performance * Serve as a liaison across medical staff, care management, and revenue cycle to drive consistent, compliant utilization practices **Required Qualifications:** * MD or DO from an accredited program * Board certified in an ABMS clinical specialty * Currently has, or has the ability to obtain, a Washington State physician license * Prior experience as a Physician Advisor or equivalent * Minimum of 5 years of clinical practice experience * Working knowledge of utilization management and medical necessity * Must reside in Alaska, California, Montana, New Mexico, Oregon, Texas, or Washington; position is remote **Preferred Qualifications:** * Master's degree in Healthcare Management, Business, or Public Health * ABQAURP or HCQM certification * Leadership experience in medical staff or hospital committees * Strong understanding of utilization review and clinical documentation integrity **Where You'll Work** Swedish Medical Group is an integrated team of more than 1,300 physicians and advanced practice clinicians serving the greater Seattle area. By utilizing Teladoc Health's industry-leading platform, you will have access to a reliable and growing patient panel, the flexibility to provide care to patients from anywhere in the U.S. and a dedicated support team focused on administrative tasks - ensuring you have everything you need to provide the highest quality of care possible.